$90K - $110K *
Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...
2 weeks ago
$66K - $111K *
Drive quality improvement initiatives across a vast network of crisis centers, ensuring optimal performance and compliance. Lead a dynamic team, collaborate with stakeholders, and enhance impactful se...
1 week ago
Medical Director, Utilization Management (Home Health, Acute & Post-Acute)
$242K - $315K *
Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...
4 weeks ago
$78K - $106K *
Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...
2 weeks ago
$83K - $132K *
Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...
1 week ago
Application Development Manager
$140K - $147K *
Inspire and lead a talented software development team, ensuring seamless integrations and timely delivery of high-quality solutions that meet business needs and drive innovation across various departm...
1 week ago
Medical Director Utilization Management, Clinical Specialty
$210K - $250K *
Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...
Reposted 2 weeks ago
Clinical Guide: Utilization Management Nurse (Outpatient Prior Authorization)
$82K - $96K *
Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...
1 week ago
$100K - $120K *
Join a dynamic team to drive client success in revenue cycle management, ensuring service excellence and strategic growth. Collaborate with leadership to enhance client metrics and foster long-term, i...
2 weeks ago
$80K - $95K *
Lead daily outreach and enrollment performance, ensuring team accountability while enhancing patient interaction quality and meeting ambitious metrics for growth in assigned markets. Manage, train, an...
2 days ago
Sr. Manager of Healthcare Claims - TPA
$107K - $140K *
Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...
1 week ago
Professional Services Manager (HEDIS & Risk)
$95K - $145K *
Unlock potential by leading complex client engagements for healthcare solutions that enhance quality, increase satisfaction, and meet regulatory goals. Combine analytics and relationship management sk...
3 days ago
Managed Care Contracting Manager
$95K - $105K *
Advance your career by leading managed care strategies, negotiating contracts, and optimizing revenue streams in a dynamic healthcare environment. Collaborate with diverse teams to enhance operational...
3 weeks ago
$80K - $86K *
Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...
1 week ago
Manager, Clinical Research - US Remote
$110K - $130K *
Drive excellence in clinical trial management, ensuring compliance and data integrity while leading a dedicated team. Collaborate cross-functionally to optimize processes and enhance trial quality in...
2 days ago
$80K - $95K *
Elevate your career by managing e-discovery projects, collaborating with attorneys, and ensuring quality deliverables. Utilize your expertise to drive project success while overseeing multiple, comple...
3 weeks ago
Manager, Value-Based Care Operations
$80K - $95K *
Lead the charge in enhancing value-based care operations by driving quality initiatives and optimizing processes across ACO programs. Collaborate with providers and stakeholders to ensure compliance a...
2 weeks ago
Senior Client Delivery Manager - Revenue Cycle (REMOTE)
$100K - $120K *
Drive operational excellence as a trusted advisor, managing high-impact client accounts to translate complex data into strategic insights, guiding executive decision-making, and fostering client relat...
1 week ago
Clinical Documentation Specialist
$74K - $124K *
Execute comprehensive clinical chart reviews to enhance documentation clarity, ensuring accuracy and compliance with regulations. Collaborate with healthcare professionals to support appropriate codin...
2 weeks ago
$90K - $110K *
Oversee performance management and hiring for a sales representative team, ensuring compliance, effective coaching, and strategic communication. Collaborate with leadership and clients while maintaini...
Reposted yesterday
Case Manager, Registered Nurse
$54K - $116K *
Engage in transformative patient care through collaborative case management. You will assess health needs, coordinate services, and advocate for members, all aimed at enhancing wellness outcomes in a...
Reposted 2 days ago
Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist
$110K - $150K *
Create innovative clinical claims logic in a high-autonomy role, driving payment integrity across multiple care settings. Engage deeply in research, author new policies, and validate concepts through...
2 weeks ago
$65K - $109K *
Join a dynamic team as a Customer Success Manager driving product adoption, enhancing client relations, and contributing to strategic growth in the Marine Insurance sector through cross-functional col...
Reposted yesterday
$80K - $95K *
Accelerate progress at client satisfaction by serving as a strategic advisor, fostering key relationships, and driving improvements to optimize revenue cycle outcomes. Engage cross-functionally to enh...
3 weeks ago
AVP, Medicare Risk Adjustment Performance
$198K - $297K *
Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...
Yesterday